A joint effort: Evaluating the quality and readability of online resources relating to total hip arthroplasty

Samher Jassim, Conor J. Kilkenny, Alex Price, Thomas Moore, Niall P. McGoldrick, John F. Quinlan
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Abstract

Background

The internet serves as a major source of information for patients undergoing total hip arthroplasty (THA). However, prior research has shown that online medical information often exceeds recommended readability levels, posing a barrier to patient comprehension. The average reading level in the United States is between 7th and 8th grade, while leading health organizations recommend that patient information not exceed a 6th-grade level. This study aims to evaluate the readability and quality of information available online regarding THA.

Methods

A systematic search was conducted on Google, Bing, and Yahoo using the terms “total hip arthroplasty” and “hip replacement surgery,” with the top 30 URLs from each search engine selected. Readability was assessed using three readability scores (Gunning FOG, Flesch-Kincaid Grade, and Flesch Reading Ease). Quality was evaluated based on HONcode certification and the JAMA benchmark criteria.

Results

Ninety webpages were included in the analysis. The mean Flesch-Kincaid Grade level was 9.5 ± 2.4, the mean Gunning FOG grade was 11.1 ± 3.0, and the mean Flesch Reading Ease score was 48.5 ± 13.8. Only 6 webpages were at or below a 6th-grade reading level. The mean JAMA score was 1.4 ± 1.3 out of 4, and 13 websites were HONcode accredited.

Conclusion

Online THA-related medical information is often too complex for the average patient, with inconsistent quality. This study assessed readability and credibility but did not evaluate medical accuracy or include hospital-based resources. Improving both readability and reliability is essential to enhance patient comprehension, support informed decision-making, and promote better health literacy.
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共同努力:评估全髋关节置换术相关在线资源的质量和可读性。
背景:互联网是全髋关节置换术(THA)患者的主要信息来源。然而,先前的研究表明,在线医疗信息往往超过推荐的可读性水平,对患者的理解构成障碍。美国的平均阅读水平在七年级到八年级之间,而领先的健康组织建议患者信息不超过六年级的水平。本研究旨在评估网上可获得的有关THA的信息的可读性和质量。方法:在b谷歌,Bing和Yahoo上使用“全髋关节置换术”和“髋关节置换手术”进行系统搜索,并从每个搜索引擎中选择前30个url。使用三种可读性评分(Gunning FOG、Flesch- kincaid Grade和Flesch Reading Ease)评估可读性。根据HONcode认证和JAMA基准标准对质量进行评估。结果:90个网页被纳入分析。Flesch- kincaid Grade评分平均值为9.5±2.4,Gunning FOG评分平均值为11.1±3.0,Flesch Reading Ease评分平均值为48.5±13.8。只有6个网页达到或低于6年级的阅读水平。JAMA平均评分为1.4±1.3分(满分4分),13家网站获得HONcode认证。结论:在线tha相关医疗信息对一般患者来说过于复杂,质量不一致。这项研究评估了可读性和可信度,但没有评估医学准确性或包括医院资源。提高可读性和可靠性对于增强患者理解、支持知情决策和促进更好的卫生素养至关重要。
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来源期刊
CiteScore
4.40
自引率
0.00%
发文量
158
审稿时长
6-12 weeks
期刊介绍: Since its establishment in 2003, The Surgeon has established itself as one of the leading multidisciplinary surgical titles, both in print and online. The Surgeon is published for the worldwide surgical and dental communities. The goal of the Journal is to achieve wider national and international recognition, through a commitment to excellence in original research. In addition, both Colleges see the Journal as an important educational service, and consequently there is a particular focus on post-graduate development. Much of our educational role will continue to be achieved through publishing expanded review articles by leaders in their field. Articles in related areas to surgery and dentistry, such as healthcare management and education, are also welcomed. We aim to educate, entertain, give insight into new surgical techniques and technology, and provide a forum for debate and discussion.
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